Preventive and Comprehensive Dental

Mass Advantage has partnered with Dominion National to provide preventive and comprehensive dental services. Mass Advantage contracts with the Dominion PPO network which means all HMO and PPO plan members, have the ability to see dentists in- and out-of-network.

Basic (HMO) Plus (HMO) Premiere (PPO) Extra (PPO)
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions

$1,500 annual allowance for comprehensive services

$2,000 annual allowance for comprehensive services

$2,000 annual allowance for comprehensive services

$2,500 annual allowance for comprehensive services

Basic (HMO)
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions

$1,500 annual allowance for comprehensive services

Plus (HMO)
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions

$2,000 annual allowance for comprehensive services

Premiere (PPO)
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions

$2,000 annual allowance for comprehensive services

Extra (PPO)
  • $0 copay for preventive dental services including routine dental exams, cleanings, and X-rays
  • $0 copay for comprehensive services including restorative services, periodontics, and extractions

$2,500 annual allowance for comprehensive services

Mass Advantage contracts with the Dominion PPO network. Your 2025 dental benefit coverage is based on using in-network Dominion PPO providers. If you choose to receive treatment from a licensed dentist outside of the Dominion PPO network, the procedures covered under our plan will be reimbursed up to the 2025 maximum benefit limit for your dental coverage (see your Evidence of Coverage for more information). You are responsible for any amounts that exceed your maximum benefit limit for both in-network and out-of-network dental services.

 

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Frequently Asked Questions

Contact

For more information or to find an in-network
dental provider, contact us at (844) 918-0114 HMO or (844) 915-0234 PPO / TTY:711


We’re available October 1 – March 31, 8:00 am – 8:00 pm, 7 days a week; 
and, April 1 – September 30, 8:00 am – 8:00 pm, Monday – Friday.